| NPI | 1073166757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW17830) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV BP00945511) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2023-02-16 |