| NPI | 1740949213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD LCSW6588) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: ND 5065) | |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2024-08-27 |