| NPI | 1265851422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL MH14985) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2020-11-17 |