| NPI | 1134592165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 29381) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 353008-3501) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2023-07-27 |