| NPI | 1871663161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO SW003563) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO CS001233) |
| 101YS0200X Counselor School (Licence: MO 0031844) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2011-03-26 |