| NPI | 1295288207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012993) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC C012993) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2023-09-12 |