| NPI | 1053715037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2017-05-16 |