| NPI | 1558433797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 2548-125) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 439-121) |
| 1041C0700X Social Worker, Clinical (Licence: MN 13418) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |