| NPI | 1245732049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 28455) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-11285) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2022-02-03 |