| NPI | 1891344487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC P015071) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: NC P015071) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2022-03-15 |