| NPI | 1538446968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C007259) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC C007259) |
| 101YM0800X Counselor Mental Health (Licence: VA 0904009137) | |
| 1041C0700X Social Worker Clinical (Licence: VA 0904009137) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2025-05-08 |