| NPI | 1982683702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW16289) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C003490) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2020-05-29 |