| NPI | 1487027421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 25347) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD 25347) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2023-09-05 |