| NPI | 1831659911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC CO10946) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC C010946) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2019-03-23 |