| NPI | 1528410149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW 13582) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-18 |