| NPI | 1689884686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5352-125) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 15459-132) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-08-26 |