| NPI | 1528125259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C003296) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC C003296) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2012-03-19 |