| NPI | 1922587112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YS0200X Counselor School |
| 1041S0200X Social Worker School | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-09-06 |