| NPI | 1952976284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L15623) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC PO15215) |
| 1041C0700X Social Worker, Clinical (Licence: NC P015215) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2025-04-24 |