| NPI | 1780210740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DE Q10001668) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014008) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2026-05-21 |