| NPI | 1467502435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801046626) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-01-05 |