| NPI | 1386853174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 5124C) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 5124-c) |
| 101YP2500X Counselor, Professional (Licence: NV 5124-C) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2010-12-24 |