| NPI | 1023259991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 1666-123) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2609-125) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2010-12-01 |