| NPI | 1093175168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA LPC9847) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA LPC9847) |
| 101Y00000X Counselor (Licence: LA LPC9847) | |
| 101Y00000X Counselor (Licence: LA PLC9847) | |
| 104100000X Social Worker | |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2026-03-06 |