| NPI | 1619202298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 6117) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 303409) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |