| NPI | 1902413347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LG50083587) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 25794) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-10-26 |