| NPI | 1336822568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0906011335) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0906011335) |
| 101YP2500X Counselor, Professional (Licence: VA 0906011335) | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-30 |