| NPI | 1336156462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: L1652) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2009-02-05 |