| NPI | 1235516543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0000001131) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW09924145) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2017-05-19 |