| NPI | 1780227058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020026619) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2017026986) |
| 1041C0700X Social Worker, Clinical (Licence: KS 05545) | |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2022-01-08 |