| NPI | 1922463512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 100515) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AK 100) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |