| NPI | 1669922779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO NLC0106848) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09925775) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2019-02-09 |