| NPI | 1285236588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 194282) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2023-03-02 |