| NPI | 1881651263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 00289) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 02755) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2014-06-10 |