| NPI | 1689225203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6851111336) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2023-09-27 |