| NPI | 1114156122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5394) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2020-07-02 |