| NPI | 1356634588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH3597) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2019-02-18 |