| NPI | 1376867556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 123330) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2022-03-09 |