| NPI | 1912185968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCSW34821) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2015-07-02 |