| NPI | 1245730258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2025-05-05 |