| NPI | 1679541197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 2942-123) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 1494-125) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2023-02-23 |