| NPI | 1932686359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011165) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 2793-05-001) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2021-01-12 |