| NPI | 1861862625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-39872) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LMSW-34868) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2021-12-06 |