| NPI | 1811142375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904006832) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DC 205761290) |
| 1041C0700X Social Worker Clinical (Licence: DC LC50078440) | |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |