| NPI | 1427090034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 269) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 849) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2012-08-23 |