| NPI | 1891919106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ID LMSW-27642) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LMSW-27642) |
| 104100000X Social Worker (Licence: ID LMSW-27642) | |
| 106H00000X Marriage & Family Therapist (Licence: ID LMSW 27642) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |