| NPI | 1083995773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 253974) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: 6059) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2023-12-11 |