| NPI | 1649343674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005491) |
| 1041C0700X Social Worker, Clinical | |
| 101YP2500X Counselor, Professional | |
| 103TC1900X Psychologist, Counseling | |
| 101YP2500X Counselor, Professional (Licence: NC C005491) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2015-09-19 |