| NPI | 1316356553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 003630) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: CT 003630) |
| 101YP2500X Counselor Professional (Licence: CT 003630) | |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2015-05-23 |