| NPI | 1538895818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW44982) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LMSW-41430) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2025-07-24 |