| NPI | 1265950604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC LG200002832) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW91203) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2024-07-16 |