| NPI | 1457651168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 6015505-3501) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2019-09-10 |