| NPI | 1669805792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW10980) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SW10980) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2018-08-02 |