| NPI | 1467572974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-3380) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LSW-610) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |