| NPI | 1497909485 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NH 2680) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: CA 60885) | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2022-06-10 |