| NPI | 1831380070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 003240) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 000823) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |