| NPI | 1851787212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1846) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 008206) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2018-11-19 |