| NPI | 1821355405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008432) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC C008432) |
| 104100000X Social Worker (Licence: NC C008432) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2020-10-21 |