| NPI | 1013489145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4526C-S) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 4232G) |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2024-02-23 |