| NPI | 1972152403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 005503) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-10-02 |