| NPI | 1083219232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L10947) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR A12074) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2022-10-21 |