| NPI | 1841406915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 04824) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LC301228) |
| 1041C0700X Social Worker, Clinical (Licence: MD 04824) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC301228) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |