| NPI | 1831900133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C11415) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MS C11415) |
| 101YM0800X Counselor, Mental Health (Licence: MS C11415) | |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |