| NPI | 1568633048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 002907292) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 5310) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2016-09-14 |