| NPI | 1205305117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11339443-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 097800) |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2022-08-26 |