| NPI | 1508303322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AR 7933-M) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 7933-C) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2021-08-18 |