| NPI | 1770063562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4280C) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 3869G) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2022-03-17 |