| NPI | 1245824424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2021-02-27 |
| Last Update Date | 2021-02-27 |