| NPI | 1194156810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2013020399) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2021-01-27 |