| NPI | 1770643017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C003454) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC C003454) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2024-03-05 |