| NPI | 1013404466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 100042) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 100042) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |