| NPI | 1699133959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 121270) |
| 104100000X Social Worker (Licence: CO 0009922098) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2023-07-26 |