| NPI | 1699985903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 909) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY 142) |
| 101Y00000X Counselor (Licence: WY 681) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-04-20 |