| NPI | 1033391933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AL 4239C) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 101YP2500X Counselor Professional (Licence: AL 4239C) | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2023-01-11 |