| NPI | 1083143382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-39199) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LMSW-36782) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-09-17 |