| NPI | 1073859260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 1257-226) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 1257-226) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2015-04-23 |