| NPI | 1841798865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 79168) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 79168) |
| 104100000X Social Worker | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |