| NPI | 1043041924 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 104100000X Social Worker | |
| Enumeration Date | 2024-08-12 | 
| Last Update Date | 2024-08-12 |