| NPI | 1336311174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 3668) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 11196) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2011-07-06 |