| NPI | 1104381151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 002562) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 000855) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2023-11-27 |