| NPI | 1023498433 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101Y00000X Counselor | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2015-06-02 | 
| Last Update Date | 2023-06-14 |