| NPI | 1679039234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 93082) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 166271) |
| 104100000X Social Worker (Licence: NY 104600) | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2020-11-19 |