| NPI | 1790731479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: MA 106738) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |