| NPI | 1770643611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 878) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 109) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |