| NPI | 1720699036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2021044498) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2019023384) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2022-08-23 |