| NPI | 1255620548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 079646) |
| 101Y00000X Counselor | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2024-10-02 |