| NPI | 1487899522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3646) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 2998B) |
| 101YP2500X Counselor, Professional (Licence: AL c2218A) | |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2017-04-25 |