| NPI | 1043857568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A12270) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: A12270) |
| 372600000X Adult Companion | |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2023-05-18 |