| NPI | 1467128520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2021023587) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2023-03-29 |