| NPI | 1609056159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C006627) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC C006627) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2021-05-10 |