| NPI | 1144744962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-44589) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: ID LMSW-44589) | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2025-07-10 |