| NPI | 1215459524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013554) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL L252-0109-2783) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2022-09-07 |