| NPI | 1700923471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 1849-125) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 3562-123) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |