| NPI | 1629425517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS M8374) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS C-8374) |
| 1041C0700X Social Worker, Clinical (Licence: TN 7381) | |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2024-05-09 |