| NPI | 1013514587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC 1013514587) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC P15282) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC P15282) | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2022-02-01 |