| NPI | 1982009445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11382) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH16062) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC11382) | |
| 104100000X Social Worker | |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2023-01-04 |