| NPI | 1619415627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34008313A) |
| 104100000X Social Worker (Licence: IN 33007537A) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2023-07-18 |