| NPI | 1780911388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C001183) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C001183) |
| 101YP2500X Counselor, Professional (Licence: NC C001183) | |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2010-03-19 |