| NPI | 1871944124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011310) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC p010233) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2024-03-20 |