| NPI | 1497274641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A4749) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR A4749) |
| 101YM0800X Counselor, Mental Health (Licence: OR A4749) | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2020-08-26 |