| NPI | 1194031534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008510) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc05355300) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2020-12-16 |