| NPI | 1053521260 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: MS W4219) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS 1534) | 
| Enumeration Date | 2007-05-23 | 
| Last Update Date | 2025-09-11 |