| NPI | 1447023510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 16779) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC SC12486) |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2024-08-23 |