| NPI | 1073807244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 5805) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12853) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2015-09-04 |