| NPI | 1316184864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401002634) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 6802046814) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-10-28 |