| NPI | 1871147918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |