| NPI | 1629296108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DC LC885447789) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2016-05-24 |