| NPI | 1447765144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR 4228) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2021-08-23 |