| NPI | 1811222714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14069) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: IN 34006609A) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2024-09-30 |