| NPI | 1235606153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149025468) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM M-10520) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927384) | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2023-05-10 |