| NPI | 1225294895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO 427) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 10352) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2010-01-06 |