| NPI | 1134843592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61562740) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 119313) |
| 101Y00000X Counselor | |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2024-06-26 |