| NPI | 1700207404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: 80238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 29266) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2018-08-06 |