| NPI | 1164752614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 12802) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PR 16670) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2022-10-05 |