| NPI | 1932400074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: I.0007861-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH I7861) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2024-03-17 |