| NPI | 1578013439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 313924) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-24 |