| NPI | 1386821965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C001558) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3836) |
| Enumeration Date | 2008-01-26 |
| Last Update Date | 2016-02-11 |