| NPI | 1699195982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7304) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 7304) |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2023-03-29 |