| NPI | 1518358753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 8533) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2628) |
| 1041C0700X Social Worker, Clinical (Licence: NE 1998) | |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2022-11-30 |