| NPI | 1336386036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 889-124) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4579-125) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2018-08-10 |