| NPI | 1629531215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 104100000X Social Worker | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2023-06-13 |