| NPI | 1881933604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8334) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 3773) |
| 1041C0700X Social Worker, Clinical (Licence: LA 3773) | |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2014-02-17 |