| NPI | 1881995900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: HI 3861) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-12927) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2014-07-03 |