| NPI | 1447476700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 000450) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KS 345) |
| 1041C0700X Social Worker Clinical (Licence: MO 002938) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |