| NPI | 1740992908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P018533) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC P018533) |
| 104100000X Social Worker (Licence: NC P018533) | |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-21 |