| NPI | 1013145333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 006987) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2023-08-31 |