| NPI | 1184955064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008808) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC P004406) |
| Enumeration Date | 2010-01-17 |
| Last Update Date | 2019-12-12 |