| NPI | 1437343431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ SW-38051) |
| 1041C0700X Social Worker, Clinical (Licence: AZ SW38051) | |
| Enumeration Date | 2007-09-02 |
| Last Update Date | 2012-12-05 |