| NPI | 1093356388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW20677) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 253831) |
| 1041C0700X Social Worker, Clinical (Licence: KY 253831) | |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2023-07-25 |