| NPI | 1518290972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM M-06299) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM M-06299) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2013-05-30 |