| NPI | 1154555944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-1225) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 1434-LCPC) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2012-08-14 |