| NPI | 1093740516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9653) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCS 22215) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2010-08-02 |