| NPI | 1265640445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 261) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 824) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2013-10-21 |