| NPI | 1285986935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW12182) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 217761) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2022-11-03 |