| NPI | 1104299817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4739C) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: Case Manager) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2022-01-05 |