| NPI | 1972239614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2023-05-11 |