| NPI | 1144868811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0904015151) |
| Additional Taxonomies | 251B00000X Case Management |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904015151) | |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2025-10-21 |