| NPI | 1023601796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021001136) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2021001136) |
| Enumeration Date | 2021-02-14 |
| Last Update Date | 2025-07-02 |