| NPI | 1356514723 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH25063) | 
| Additional Taxonomies | 104100000X Social Worker | 
| Enumeration Date | 2008-04-08 | 
| Last Update Date | 2024-10-19 |