| NPI | 1023576410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical | |
| 251B00000X Case Management | |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |