| NPI | 1356628754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 8209) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 8209) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |