| NPI | 1134799091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: 99524) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: 99524) | |
| 104100000X Social Worker | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-01-11 |