| NPI | 1275776809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-30986) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LMSW-27480) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2014-03-13 |