| NPI | 1508900598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003136) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000008333) |
| 101YM0800X Counselor, Mental Health (Licence: NC C012783) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2023-07-12 |