| NPI | 1134459548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LMSW-30182) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LMSW-30182) |
| 104100000X Social Worker (Licence: ID LMSW-30182) | |
| 1041C0700X Social Worker, Clinical (Licence: ID LMSW-30182) | |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2019-06-13 |