| NPI | 1952687212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 11899) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 11899) |
| 104100000X Social Worker (Licence: LA 11899) | |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2024-11-18 |