| NPI | 1033283742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 006733) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 006733) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |