| NPI | 1538415336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 103526) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AK 103526) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2022-09-29 |