| NPI | 1932725306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC10651) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD LGP8830) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2022-12-01 |