| NPI | 1396737284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IN 34003655A) |
| 1041C0700X Social Worker Clinical (Licence: IN 34003655A) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2007-07-09 |