| NPI | 1013313667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-39564) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-31455) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2020-12-10 |