| NPI | 1720473234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C014686) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CT 8929) |
| 1041C0700X Social Worker Clinical (Licence: CT 8929) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2023-09-28 |