| NPI | 1649671629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 8613-123) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 8613-123) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2022-08-10 |