| NPI | 1275782625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IMH12202) |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH12202) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2015-10-16 |