| NPI | 1609173533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS c6936) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C6936) |
| 104100000X Social Worker (Licence: MS M6936) | |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2024-08-23 |