| NPI | 1801419262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR A5953) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR A5953) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |