| NPI | 1558958207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2023-10-18 |