| NPI | 1558616359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 6417093-3502) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2022-05-23 |