| NPI | 1023430774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L7565) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2020-07-24 |