| NPI | 1316558174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008442) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC C008442) |
| 101YM0800X Counselor, Mental Health (Licence: NC C008442) | |
| 104100000X Social Worker | |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |