| NPI | 1245893403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 15350) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2020-09-24 |