| NPI | 1164544607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10764) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 9760) |
| 101YP1600X Counselor, Pastoral | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW003315) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C004826) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2019-10-03 |