| NPI | 1427896067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P020735) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC P020735) |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-12-04 |