| NPI | 1467477158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005326) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 17917) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-03-30 |