| NPI | 1447405733 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: NH 2270)  | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YM0800X Counselor, Mental Health (Licence: NH 2270)  | |
| Enumeration Date | 2008-12-01 | 
| Last Update Date | 2020-05-01 |