| NPI | 1932711413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 251B00000X Case Management |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |