| NPI | 1093122434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P016239) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC P008570) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2023-02-26 |