| NPI | 1033815188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P017606) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC P017606) |
| 101YM0800X Counselor Mental Health (Licence: NC P017606) | |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |