| NPI | 1104178433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2012029827) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2012029827) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2023-11-21 |