| NPI | 1427802826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3604) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104997) |
| 1041C0700X Social Worker, Clinical (Licence: UT 8018587-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 123780) | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |