| NPI | 1114659174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12031-123) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 132928-121) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2024-12-18 |