| NPI | 1356638738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009587) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 6256) |
| 104100000X Social Worker | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2023-05-10 |