| NPI | 1780173807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101Y00000X Counselor | |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |