| NPI | 1558784520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904007089) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007089) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2020-08-29 |