| NPI | 1548835648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24819) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2024-12-13 |