| NPI | 1184861809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 8974) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2022-11-22 |