| NPI | 1598830937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 1597) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 2842) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-05-09 |