| NPI | 1487395976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0906012182) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0906012182) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2024-06-04 |