| NPI | 1841346251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4494) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 3028136) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2010-06-07 |