| NPI | 1619279734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2011-03-17 |