| NPI | 1619650876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: SD 6434) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SD 6434) |
| 101YM0800X Counselor Mental Health (Licence: IA 121337) | |
| 104100000X Social Worker (Licence: IA 121337) | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-09-27 |