| NPI | 1669904686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: CO LSW.0009921186) | |
| 104100000X Social Worker (Licence: OR L10719) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2022-09-20 |