| NPI | 1881338564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 101YS0200X Counselor School | |
| 104100000X Social Worker | |
| 1041S0200X Social Worker School | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |