| NPI | 1225478852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 674111510) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 4710) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2022-11-15 |