| NPI | 1558763813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |