| NPI | 1396051066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS M3658) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS M3658) |
| 1041C0700X Social Worker, Clinical (Licence: MS M3658) | |
| 106H00000X Marriage & Family Therapist (Licence: MS M3658) | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |