| NPI | 1730065210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013451) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0904013451) |
| 101YP2500X Counselor, Professional (Licence: 0904013451) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0904013451) | |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |