| NPI | 1720364284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008006) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C008006) |
| 101Y00000X Counselor (Licence: NC C008006) | |
| 101YM0800X Counselor, Mental Health (Licence: NC C008006) | |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2015-12-15 |