| NPI | 1326410523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 6849) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6849) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2018-01-30 |