| NPI | 1639845399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID 40995) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 40995) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2022-08-12 |