| NPI | 1114365095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 8810) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 8810) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2015-04-16 |