| NPI | 1639295447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17566) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-04-09 |