| NPI | 1982272373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID 42878) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LMSW39646) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2023-07-03 |