| NPI | 1750830097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 098328) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical (Licence: MO 2019024949) | |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2024-08-22 |