| NPI | 1114150729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P004563) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC P004563) |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2010-03-04 |