| NPI | 1124198858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904004768) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0904004768) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-06-27 |