| NPI | 1912368648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21707) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LC302376) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC302376) | |
| 101YM0800X Counselor, Mental Health (Licence: MD 21707) | |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-08-24 |