| NPI | 1821118712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 10177) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW3929) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW016175) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-12-30 |