| NPI | 1720250517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17806) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2020-02-13 |