| NPI | 1992913677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904003730) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0904003730) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2019-09-10 |