| NPI | 1114194644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 1744-M) |
| 1041C0700X Social Worker Clinical (Licence: AR 2530-C) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2016-05-04 |