| NPI | 1285981779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 6671-123) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 6671-123) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2017-12-04 |