| NPI | 1942919063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 107268) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 107268) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-07-17 |