| NPI | 1932345758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AK 1157241) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical (Licence: MD 13060) | |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2020-06-25 |