| NPI | 1740270966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NH 1254) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1254) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2007-07-08 |