| NPI | 1396001756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 000738) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 000738) |
| 101YM0800X Counselor Mental Health (Licence: FL 000738) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-09-26 |