| NPI | 1851686000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: PR 10571) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2016-12-09 |