| NPI | 1245939354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 242818) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 242818) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2026-01-22 |