| NPI | 1699883512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 3724) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 3724) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-11-20 |