| NPI | 1700473469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P014824) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC P014824) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2021-07-20 |