| NPI | 1447352067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCSW-25452) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LCSW25452) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2025-08-02 |