| NPI | 1477725943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 9301) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 6479) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2009-11-24 |