| NPI | 1144994161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DE Q1-0011940) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: DE Q1-0011940) |
| 101YM0800X Counselor Mental Health (Licence: DE Q1-0011940) | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2023-02-26 |