| NPI | 1124177308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004089) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional (Licence: TX 18190) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-09-23 |