| NPI | 1316028061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 012J-0423-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 0423C) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2025-09-11 |