| NPI | 1841781119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012286) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006886A) |
| 101YM0800X Counselor, Mental Health (Licence: NC C012286) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2021-06-29 |