| NPI | 1992165476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 12406) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 12406) |
| 104100000X Social Worker | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2020-09-01 |