| NPI | 1942622907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010958) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC P008186) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2023-10-19 |