| NPI | 1477891653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012337) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL ISW6540) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2020-11-01 |