| NPI | 1588094981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 15127) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 9504) |
| 1041C0700X Social Worker Clinical (Licence: FL 22682) | |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2024-09-11 |