| NPI | 1548480940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 1017) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 2293) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2013-03-26 |