| NPI | 1114266095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 7271571) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 10806-C) |
| 101YM0800X Counselor, Mental Health (Licence: ID 7271571) | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2025-12-22 |