| NPI | 1669605200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5362) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 6805) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2019-10-01 |