| NPI | 1164877437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 153811) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2023-11-07 |