| NPI | 1124244058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LSW-27306) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-05-26 |