| NPI | 1598431850 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-08-17 | 
| Last Update Date | 2022-07-22 |