| NPI | 1508381682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 5110) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2021-05-24 |