| NPI | 1376833368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 3413) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD 2232) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2020-07-21 |