| NPI | 1568776979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 1999-123) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 1886-125) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |