| NPI | 1205340916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5359) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 1849) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2020-10-05 |