| NPI | 1649501883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C006694) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC C006694) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2019-07-11 |