| NPI | 1447928916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 130232-121) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 130232-121) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |