| NPI | 1700633534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 003793) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 003649) |
| 1041C0700X Social Worker, Clinical (Licence: NY 096855) | |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |