| NPI | 1861983439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P01237) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC P012397) |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2018-06-01 |