| NPI | 1003065459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 1358-LCPC) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2015-06-30 |