| NPI | 1720250657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016613) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC C016613) |
| 101YM0800X Counselor, Mental Health (Licence: PA CW015938) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2024-02-06 |