| NPI | 1073852828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20864) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2023-02-17 |