| NPI | 1679601579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2177) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SD SW2082) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2017-06-01 |