| NPI | 1023434198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0172701) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2015-03-05 |