| NPI | 1043551484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7512) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2024-03-28 |