| NPI | 1235649997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2022-01-31 |