| NPI | 1801920442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 1482-C) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR 1482-C) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-04-03 |