| NPI | 1770596199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL SW6138) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW6138) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-04-18 |