| NPI | 1447461215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: 002950) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 002950) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2011-09-15 |