| NPI | 1033457759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC LISW-10500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: SC LMSW 10500) | |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2017-08-15 |