| NPI | 1730303074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME LC5406) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO csw29925611) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2022-07-21 |