| NPI | 1073257341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0906009753) |
| Enumeration Date | 2022-04-23 |
| Last Update Date | 2025-10-16 |