| NPI | 1497092704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 5204-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 16215-132) |
| 104100000X Social Worker (Licence: WI 1180-226) | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2024-04-17 |