| NPI | 1306273024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1017889) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2016-04-18 |