| NPI | 1184009979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8021) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2022-10-11 |