| NPI | 1003415944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |