| NPI | 1760449334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 17533) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923986) |
| 101YM0800X Counselor, Mental Health (Licence: LA 3572) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2024-03-22 |