| NPI | 1770672206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39001453A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical (Licence: IN 39001453A) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-07-21 |