| NPI | 1457448904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM M-0488) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NM M-0488) |
| 101YP2500X Counselor Professional (Licence: NM 1015) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2010-08-20 |