| NPI | 1881809028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 1464-125) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 2121-123) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |