| NPI | 1760086482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-12-07 |