| NPI | 1235358367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LCSW64549) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-05-02 |