| NPI | 1447510094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L6887) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR A2993) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2022-03-30 |