| NPI | 1053099564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C10613) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS C10613) |
| 1041C0700X Social Worker, Clinical (Licence: TN 9373) | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2024-12-20 |