| NPI | 1235800202 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 101YM0800X Counselor, Mental Health | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2021-09-21 | 
| Last Update Date | 2025-02-25 |