| NPI | 1982739306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2007001280) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2007001280) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2023-02-28 |