| NPI | 1487352704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6851115619) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2024-11-07 |