| NPI | 1114351004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2015-11-18 |