| NPI | 1255535712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225C00000X Rehabilitation Counselor | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2013-07-30 |