| NPI | 1235226093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC P003896) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 8533) |
| 1041C0700X Social Worker, Clinical (Licence: NC C006330) | |
| 101YM0800X Counselor, Mental Health (Licence: NC C006330) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2010-02-18 |