| NPI | 1962127183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 150105605) |
| 101YM0800X Counselor, Mental Health (Licence: CA 111554) | |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2023-04-27 |