| NPI | 1487199857 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 104100000X Social Worker | 
| 175T00000X Peer Specialist | |
| Enumeration Date | 2016-12-21 | 
| Last Update Date | 2024-03-30 |