| NPI | 1376014738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L10910) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2024-07-26 |