| NPI | 1043825680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015936) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC C015936) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2024-02-12 |