| NPI | 1124027537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q10000204) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DE Q10000204) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-10-23 |