| NPI | 1679706907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC C009767) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2020-03-23 |