| NPI | 1396137527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-37909) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LCSW-37909) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2020-12-10 |