| NPI | 1265852164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 104100000X Social Worker (Licence: AL 4123C) | |
| 1041C0700X Social Worker, Clinical (Licence: AL 4123) | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2018-11-08 |