| NPI | 1942412804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 126693 - 121) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 126693 - 121) |
| 104100000X Social Worker (Licence: WI 126693 - 121) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-09 |