| NPI | 1801553276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-41860) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR M7578) |
| Enumeration Date | 2021-11-20 |
| Last Update Date | 2023-03-14 |