| NPI | 1669192092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014180) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0904014180) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-09-02 |