| NPI | 1144288150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 00204) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 02040) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2007-07-08 |