| NPI | 1073759049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LCSW-33136) |
| 101Y00000X Counselor (Licence: ID LMSW-29187) | |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2020-03-16 |