| NPI | 1669675450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008381) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW7040) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2018-07-26 |