| NPI | 1356718456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21138) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 21138) |
| 101Y00000X Counselor (Licence: MD 21138) | |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2019-08-20 |