| NPI | 1801041488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 34005594A) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34005594) |
| 1041C0700X Social Worker Clinical (Licence: IN 34005594A) | |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2020-08-07 |