| NPI | 1073495875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR A17176) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041S0200X Social Worker, School | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-10-06 |