| NPI | 1255754412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8471) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 313320) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |