| NPI | 1386407807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0021554) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09928728) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |