| NPI | 1588708226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 03175) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 001198) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3426) | |
| 101YP2500X Counselor, Professional (Licence: NE 1729) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2011-09-15 |