| NPI | 1053440941 |
|---|---|
| Professional Name | NONE NONE NONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2019-09-13 |