| NPI | 1649694233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-33837) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY PCSW-535) |
| 101YM0800X Counselor, Mental Health (Licence: ID LMSW-31478) | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2024-03-03 |