| NPI | 1851503403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0085021) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM B3592) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-06-08 |