| 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 |