| NPI | 1952945297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904014837) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: VA 0734001419) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2023-01-30 |