| NPI | 1376159319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LMSW31594) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LCSW-44070) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2025-02-03 |