| NPI | 1124606868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SD 6287) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 125442) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2024-06-05 |