| NPI | 1831870815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C11117) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS M9748) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-08-26 |