| NPI | 1689984916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C9980) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 9101) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2023-01-13 |