| NPI | 1003945973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 446) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 895) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2010-05-24 |