| NPI | 1750927208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011162) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0904011162) |
| 104100000X Social Worker (Licence: VA 0904011162) | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2020-04-06 |