| NPI | 1740432970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006603) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7131) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW8544) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |