| NPI | 1720806714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P020352) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC p020352) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2025-02-20 |