| NPI | 1740578194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7827) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 73895) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2022-03-23 |