| NPI | 1235646324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor Mental Health | |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2019-11-01 |