| NPI | 1710095856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 2325-C) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2011-07-11 |