| NPI | 1871819979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ND 4558) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2013-12-31 |