| NPI | 1922301993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116032) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW16159) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2023-04-10 |