| NPI | 1962868737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14712) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: SC LMSW-11206) | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2021-10-13 |