| NPI | 1194462291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11487-123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 131860) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2023-10-30 |