| NPI | 1457369068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW 992942) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM I-05559) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2012-11-27 |