| NPI | 1154671477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 5458-125) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 10688-120) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2019-09-18 |