| NPI | 1992322150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 135631) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 135631) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2026-01-05 |