| NPI | 1962559641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 3786-123) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 1418-125) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-12-27 |