| NPI | 1760667919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 00989996) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 989996) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2022-12-08 |