| NPI | 1306098165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 680205778) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 9674) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |