| NPI | 1760838346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 18182) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR A4334) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2020-06-10 |