| NPI | 1194942185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID LCPC 332) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LSW 1810) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-09 |