| NPI | 1730557679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 076622) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IA 076622) |
| 101YM0800X Counselor, Mental Health (Licence: IA 076622) | |
| 104100000X Social Worker (Licence: IA 076622) | |
| 106H00000X Marriage & Family Therapist (Licence: IA 076622) | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2021-04-14 |