| NPI | 1750574844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C003623) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC COO3626) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2017-12-08 |