| NPI | 1922425305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010091) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC P008667) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2020-02-27 |