| NPI | 1053664474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 8912228-6004) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2022-08-16 |