| NPI | 1609446319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 5213) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2842) |
| 1041C0700X Social Worker, Clinical (Licence: NE 2081) | |
| Enumeration Date | 2021-06-26 |
| Last Update Date | 2021-10-27 |