| NPI | 1558634576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 5806) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 5806) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2024-02-23 |