| NPI | 1184169930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14257) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 11973) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2021-05-14 |