| NPI | 1447385836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 111981) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2023-08-07 |