| NPI | 1265855092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 13440) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C011055) |
| 1041C0700X Social Worker, Clinical (Licence: SC 13440) | |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2021-12-10 |