| NPI | 1619991536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 1570-123) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 719-125) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2015-04-21 |