| NPI | 1700288487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL SW13713) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL ISW6291) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2024-07-10 |