| NPI | 1639633688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL F400-101-83-728-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL F400-101-83-728-1) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-11-26 |