| NPI | 1225495989 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 10720578-3501)  | 
| Enumeration Date | 2016-01-26 | 
| Last Update Date | 2025-08-04 |