| NPI | 1134272305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1219) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 3129) |
| 104100000X Social Worker (Licence: IA 06813) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2019-11-28 |