| NPI | 1427357326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-33082) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LMSW-30593) |
| 101YM0800X Counselor, Mental Health (Licence: ID LCSW-33082) | |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2019-11-26 |