| NPI | 1023180460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 478-125) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 2662-123) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2010-02-24 |