| NPI | 1467706358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID lcsw34057) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LMSW31409) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2023-01-11 |