| NPI | 1780231233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2023-10-23 |