| NPI | 1063634665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8256) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 16224) |
| 101YP2500X Counselor, Professional (Licence: ND 3701) | |
| 1041S0200X Social Worker, School (Licence: FL SW-12528) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-12-28 |