| NPI | 1881963031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2012-08-03 |