| NPI | 1033230941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 120245) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 7364) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2021-03-09 |