| NPI | 1972344414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WV SW082216328) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-09-12 |