| NPI | 1568845352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW7670) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10546) |
| 101YM0800X Counselor, Mental Health (Licence: NE 6986) | |
| 104100000X Social Worker (Licence: TN 11232) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2022-08-15 |