| NPI | 1083984637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 134327) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 15413-132) |
| 104100000X Social Worker (Licence: WI 134327) | |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2025-02-14 |