| NPI | 1023081106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO #1182) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 1182) |
| 1041C0700X Social Worker, Clinical (Licence: CO 1182) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2009-05-04 |