| NPI | 1083811558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11807-123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 7680) |
| 1041C0700X Social Worker, Clinical (Licence: NY 085242) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2025-07-16 |