| NPI | 1154378172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 6801078182) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801078182) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-07-09 |