| NPI | 1568727568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012028) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 27782) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2019-08-26 |