| NPI | 1386284065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 004009) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 004009) |
| 101YP2500X Counselor, Professional (Licence: MO 004009) | |
| 104100000X Social Worker (Licence: MO 004009) | |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-08-03 |