| NPI | 1518069426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-3143) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LSW-2568) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-09 |