| NPI | 1154743441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C-6986) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS M6986) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2025-09-04 |