| NPI | 1023672383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MS M9270) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS M9270) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-07-03 |