| NPI | 1609824820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 3855) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 200200) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2017-04-10 |