| NPI | 1083338586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 3662) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.114433) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2025-01-11 |