| NPI | 1043865496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM X-11109) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM C-11409) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2021-01-08 |