| NPI | 1912619891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: RI CSW03045) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0733008460) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0732009641) | |
| 104100000X Social Worker (Licence: IL 150.110296) | |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2024-02-02 |