| NPI | 1821551094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 374700000X Technician | |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2023-09-07 |