| NPI | 1043712391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901509) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA S.1700286) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2020-09-21 |