| NPI | 1770936254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ND 3516) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ND 3516) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2021-10-05 |