| NPI | 1053800185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041S0200X Social Worker, School | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2023-05-18 |