| NPI | 1053445759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 1726-C) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR 1726-C) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-02-09 |