| NPI | 1942325022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 6801) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 6268) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-09 |