| NPI | 1871238246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 101Y00000X Counselor | |
| Enumeration Date | 2022-05-01 |
| Last Update Date | 2022-05-01 |