| NPI | 1013620574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 05503) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 05503) |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2023-01-04 |