| NPI | 1417900515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C001738) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 571) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-12-31 |