| NPI | 1942583141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 9429) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2021-03-03 |