| NPI | 1609357961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L15512) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2024-09-24 |