| NPI | 1487085825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14194) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 6699) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2023-11-15 |