| NPI | 1942784434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PR 4117) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PR 6663) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |