| NPI | 1063835445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 188020) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 188020) |
| 101YM0800X Counselor, Mental Health (Licence: SC 188020) | |
| 1041S0200X Social Worker, School (Licence: SC 188020) | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |