| NPI | 1588110597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 59-1641327) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2018-06-15 |