| NPI | 1811392368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 18292) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1655) |
| 1041C0700X Social Worker, Clinical (Licence: NE 1679) | |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2020-03-10 |