| NPI | 1003185745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCSW-32437) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-30582) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2022-07-16 |