| NPI | 1033416383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 36321) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014234) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2013-07-24 |