| NPI | 1043334899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C2405) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-3458) |
| 104100000X Social Worker (Licence: ID LSW-1306) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2010-01-12 |