| NPI | 1447556659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009134) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904005944) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 10700) | |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2015-10-06 |