| NPI | 1174524037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 104100000X Social Worker | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2007-07-09 |