| NPI | 1508257593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 6781481-3501) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2016-03-14 |