| NPI | 1114776309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016859) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0904016859) |
| 104100000X Social Worker (Licence: VA 0904016859) | |
| Enumeration Date | 2024-05-18 |
| Last Update Date | 2024-05-18 |