| NPI | 1083898878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL 1136) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AL 1996B) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |