| NPI | 1407302599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL CRPS100312-F) |
| 1041C0700X Social Worker, Clinical | |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2023-10-20 |