| NPI | 1912137670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005961A) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2014-06-19 |