| NPI | 1790847515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0011145) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q3-0000249) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2023-12-21 |