| NPI | 1851837959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC7096) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD LC7096) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2019-07-02 |