| NPI | 1205211042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924038) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2021-04-14 |