| NPI | 1740679745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 093770) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IA 093770) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2019-10-24 |