| NPI | 1720583230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 00108805) |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator (Licence: 4235090) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2019-06-11 |