| NPI | 1669045951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 41137) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-11-16 |