| NPI | 1205570488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH19792) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2023050834) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2026-04-09 |