| NPI | 1780243709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 21144-P) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2024-08-29 |