| NPI | 1558753400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008172A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW21756) |
| 104100000X Social Worker (Licence: LA 13097) | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2024-09-10 |