| NPI | 1235337965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 15435) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 21596) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2025-03-18 |