| NPI | 1063787752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-31886) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID 31886) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2024-02-06 |