| NPI | 1275987281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor | |
| 101YM0800X Counselor Mental Health | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 103TH0100X Psychologist Health Service | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |