| NPI | 1417285644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4096-p) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 077880) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2011-03-02 |