| NPI | 1215169255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS C-2140) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C2140) |
| Enumeration Date | 2009-08-09 |
| Last Update Date | 2009-12-16 |