| NPI | 1336131978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 718) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 5) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2007-07-08 |