| NPI | 1912666702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 16079) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 16079) |
| 101YM0800X Counselor, Mental Health (Licence: LA 16079) | |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2021-12-09 |