| NPI | 1699439109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 219474) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-10-30 |
| Last Update Date | 2024-02-14 |