| NPI | 1932757002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041S0200X Social Worker School |
| 101YS0200X Counselor School | |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2022-01-21 |