| NPI | 1285176776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 12303) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 12303) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2020-11-03 |