| NPI | 1679463368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 5894) |
| 103TF0000X Psychologist, Family (Licence: LA 1234) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: AL 987456A) | |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |