| NPI | 1770856148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW14433) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2022-02-22 |