| NPI | 1942741871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 9478776-3502) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2022-03-06 |