| NPI | 1215916127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 007414) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IA 007414) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2024-11-27 |