| NPI | 1801231840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR M5714) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 101Y00000X Counselor | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2014-03-21 |