| NPI | 1659825990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9882-C) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA CSW005844) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW005844) | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2023-08-04 |