| NPI | 1790953180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA LCSW 9124) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA LMSW 9124) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2012-02-13 |