| NPI | 1376798231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW7407) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW7407) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2012-06-06 |