| NPI | 1164585980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7272) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA 7272) |
| 104100000X Social Worker | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-07-30 |