| NPI | 1487325452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 4107) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2021036337) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2024-10-31 |