| NPI | 1114127503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA intern) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2011-06-15 |