| NPI | 1881643476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 580 LCSW) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MT 59867) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2015-10-13 |