| NPI | 1124328059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007638) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC C007638) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2022-11-07 |