| NPI | 1346571387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 81813) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.018875) | |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2020-05-14 |