| NPI | 1538357140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 10343) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C007694) |
| 104100000X Social Worker | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2023-08-18 |