| NPI | 1609099522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC C006066) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS19478) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2011-02-10 |