| NPI | 1760111637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8911028) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID 8911028) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2025-11-03 |