| NPI | 1922336080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 6652) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 8719) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |