| NPI | 1205133675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2016-02-01 |