| NPI | 1265523682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 4011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 918-125) |
| 1041C0700X Social Worker, Clinical (Licence: WI 4011-123) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2021-05-12 |