| NPI | 1528544715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 24598) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 11879) |
| 104100000X Social Worker (Licence: SC 11879) | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2019-10-17 |