| NPI | 1861834970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC P008100) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC P008100) |
| 101YP2500X Counselor Professional (Licence: NC P008100) | |
| 104100000X Social Worker (Licence: NC P008100) | |
| 1041C0700X Social Worker Clinical (Licence: NC P008100) | |
| 1041S0200X Social Worker School (Licence: NC P008100) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |