| NPI | 1437393071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2006022758) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2006022758) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2020-12-04 |