| NPI | 1225789407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 3791) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 3791) |
| 101Y00000X Counselor | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2023-10-16 |