| NPI | 1801066584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 10184) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA 004345) |
| 104100000X Social Worker (Licence: NY 072659-1) | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2015-01-21 |