| NPI | 1083685168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 002833) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 001435) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2025-09-11 |