| NPI | 1174877351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH18497) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2021-03-09 |