| NPI | 1013426295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 4508C) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional (Licence: AL 4508C) | |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-03-29 |