| NPI | 1497856322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO CS000597) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO SW003013) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |