| NPI | 1194378364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |