| NPI | 1023614864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2024-04-30 |