| NPI | 1548561236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4463-125) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 4463-125) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2024-05-29 |