| NPI | 1932734415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 16546) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 16546) |
| 101YM0800X Counselor, Mental Health (Licence: AZ 16546) | |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |