| NPI | 1851732200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009715) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC P008295) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2024-09-09 |