| NPI | 1205219540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 11890) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2021-10-18 |