| NPI | 1578947297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 1041C0700x) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2016-02-29 |