| NPI | 1851607535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MS 1927) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS 1927) |
| 101YP2500X Counselor Professional (Licence: MS 1927) | |
| 104100000X Social Worker (Licence: MS 1927) | |
| 1041C0700X Social Worker Clinical (Licence: MS 1927) | |
| 106H00000X Marriage & Family Therapist (Licence: MS 1927) | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |