| NPI | 1245707603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW18815) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL ISW12913) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2021-09-30 |