| NPI | 1235892654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0906010014) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0733000389) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0732004322) | |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2021-10-21 |