| NPI | 1841844263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL sw22829) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: MN 23309) | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2024-08-28 |