| NPI | 1225064462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 5145) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 5145) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2021-12-10 |