| NPI | 1437408374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2022-07-21 |