| NPI | 1700331121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P020500) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2024-10-17 |