| NPI | 1407208556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC 50082295) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 72476) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2020-04-24 |