| NPI | 1932342599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 4744) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: SD 3125) | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2023-01-04 |