| NPI | 1316122773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-29006) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LMSW-26630) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2023-03-20 |