| NPI | 1912204363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: UT 373155-3503) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2021-01-06 |