| NPI | 1407528185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11983) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 132452) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2024-10-21 |