| NPI | 1497008379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UT 8041879-3502) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2021-01-07 |