| NPI | 1265606123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 9199-C) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 15337) |
| 1041C0700X Social Worker Clinical (Licence: WI 1303123) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2024-06-07 |