| NPI | 1043420680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 5215) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN 5215) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-06 |