| NPI | 1114337342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10876) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2019-09-05 |