| NPI | 1700931151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L3148) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |