| NPI | 1760778153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AZ LMSW13305) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2022-08-12 |