| NPI | 1881264950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCSW-42074) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LMSW-35831) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2022-10-18 |