| NPI | 1992038079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 785) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY 785) |
| 251C00000X | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2020-02-26 |