| NPI | 1255984944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |