| NPI | 1588621494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 1516-C) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR 1516-C) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-06-17 |