| NPI | 1942776109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CSW007309) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA MSW007910) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2022-03-20 |