| NPI | 1336939610 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker | 
| Additional Taxonomies | 251B00000X Case Management | 
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-05-09 | 
| Last Update Date | 2025-06-20 |