| NPI | 1669795787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007657) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC P005589) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2013-07-31 |