| NPI | 1255720439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LCA-282) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 08467) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |