| NPI | 1154427482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC C004538) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2012-03-06 |