| NPI | 1477835478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 529-LCSW) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 00009347) |
| 1041C0700X Social Worker, Clinical (Licence: CO LCSW 991800) | |
| 101YM0800X Counselor, Mental Health (Licence: OR L6001) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2013-12-21 |