| NPI | 1831596089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.108114) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA Trainee) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2023-03-17 |