| NPI | 1386938819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM X07152) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM X-07152) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |