| NPI | 1801556097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0904014926) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904014926) |
| 251S00000X Community/Behavioral Health (Licence: VA 0904014926) | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2023-12-14 |