| NPI | 1205409380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P016400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC P061400) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2025-02-14 |