| NPI | 1437427101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006423) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 001601) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |