| NPI | 1962803676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC C013425) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095850) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2021-10-27 |