| NPI | 1801403357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 17712) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 26895) |
| 1041C0700X Social Worker, Clinical (Licence: MN 26895) | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2023-04-27 |