| NPI | 1992861843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 4342) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM B-2183) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |