| NPI | 1942625165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OK 6166) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2018-01-23 |