| NPI | 1487745030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 001104) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 004158) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-10-03 |