| NPI | 1871891358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2003001226) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 20030011226) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2021-04-08 |