| NPI | 1497737688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC C003199) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC C003199) |
| 1041C0700X Social Worker, Clinical (Licence: NC C003199) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-07-08 |