| NPI | 1528710746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ND 5769) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 5769) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-06-20 |