| NPI | 1386353191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013957) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |