| NPI | 1053847210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 12039) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 12039) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2023-07-24 |