| NPI | 1851965719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21149) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 21149) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-05-16 |
| Last Update Date | 2022-09-24 |