| NPI | 1669793519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P005765) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2014-04-21 |