| NPI | 1770080467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7710-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3876-226) |
| 104100000X Social Worker | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2022-08-22 |