| NPI | 1609296615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 10776) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2023-08-03 |