| NPI | 1659525160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 007222) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW30669) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2016-07-05 |