| NPI | 1275095143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 130978-121) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2022-05-04 |