| NPI | 1518527951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1672) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1612) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2022-04-11 |