| NPI | 1033651807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical (Licence: NC P011078) | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2023-12-05 |