| NPI | 1619457819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC C014358) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 6261) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2021-10-12 |