| NPI | 1215218904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 1273-3856C) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 1273-3856C) |
| 101YM0800X Counselor, Mental Health (Licence: AL 3078G) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2023-09-27 |