| NPI | 1912212705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6536-C) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR 6536-C) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2025-01-05 |