| NPI | 1932833449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018034) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC P017925) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2025-01-28 |