| NPI | 1114767282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID LMSW-9261851) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 9261851) |
| 104100000X Social Worker (Licence: ID LSW-45126) | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2025-10-10 |