| NPI | 1376690891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1058) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 2525) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2010-12-20 |