| NPI | 1851975171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UT 122880923502) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2023-02-08 |