| NPI | 1164538971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MS W1880) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS CH0030) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2025-09-11 |