| NPI | 1134535065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 17357) |
| 1041C0700X Social Worker, Clinical (Licence: UT 10241165-3501) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2023-05-04 |