| NPI | 1750858130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 4154) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 4154-226) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2019-01-03 |