| NPI | 1740230606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 01611) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 001134) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-12-12 |