| NPI | 1538211701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH 2087) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD LPC-MH 2087) |
| 104100000X Social Worker (Licence: SD LSWA 2146) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |