| NPI | 1780282855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15107) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 12183) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2022-11-21 |