| NPI | 1033695655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 135177-121) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 135177-121) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2025-05-14 |