| NPI | 1992218853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2024-06-21 |