| NPI | 1750655155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8677) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 2023) |
| 104100000X Social Worker | |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2024-04-19 |