| NPI | 1518463884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SW11216) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW11216) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2022-07-28 |