| NPI | 1891103883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1863) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1684) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2020-01-22 |