| NPI | 1013598036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 2220) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ND 2220) |
| 104100000X Social Worker (Licence: ND 2220) | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2023-08-07 |