| NPI | 1033481890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC LCSWC008820) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008820) |
| 101YM0800X Counselor, Mental Health (Licence: NC LCAS-23066) | |
| 101YM0800X Counselor, Mental Health (Licence: UT LCSW13302316-350) | |
| 101YM0800X Counselor, Mental Health (Licence: GA CSW008515) | |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2023-11-29 |