| NPI | 1720425309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8465-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 129016121) |
| 1041C0700X Social Worker, Clinical (Licence: WI 8465-123) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2016-11-17 |