| NPI | 1235689506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 15349) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW73522) |
| 104100000X Social Worker (Licence: SC SW15349) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2023-01-26 |