| NPI | 1770225112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LMSW-42222) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LSW-40865) |
| 104100000X Social Worker (Licence: ID LMSW-42222) | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-05-24 |