| NPI | 1164725404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCMS100759) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2019-06-03 |