| NPI | 1174990220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 11424) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 11424) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2016-01-14 |