| 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 |