| NPI | 1235604406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4926) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1694) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |