| NPI | 1235557612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 7927) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW72353) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2021-07-12 |