| NPI | 1124466180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008344) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 2672) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-07-10 |