| NPI | 1164448312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL LCSW:6942) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY LCSW:R044008) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |