| NPI | 1003365222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 012927) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: OR L10625) | |
| 372600000X Adult Companion | |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2023-05-16 |